Senior Credentialing Quality Analyst - Remote

Namely; United States; Remote; USD 62,000 - 81,000; Full time

Job summary

Oscar Health is seeking a Senior Analyst to join the Credentialing Quality & Data Operations Team. The role focuses on accuracy, quality, compliance, and continuous improvement of credentialing and provider operations, turning data into actionable recommendations.

This fully remote position supports practitioner and facility credentialing, audits, and analytics, with opportunities to mentor teammates and drive cross-team improvements. Travel to team meetings may be required.

Qualifications

• 3+ years of experience in healthcare operations, credentialing, quality assurance, or audits.
• 1+ years identifying risks or data issues and driving resolution.
• Proficient with Excel or Google Sheets for validation, reconciliation, and presentation of findings.
• Experience conducting credentialing quality audits and corrective-action follow-up.
• Ability to learn credentialing concepts and data; familiarity with practitioner and facility credentialing recommended.
• Knowledge of credentialing regulatory requirements.

Responsibilities

• Perform complex credentialing operations, data quality, audits, and analytics per requirements.
• Evaluate credentialing records and system data for accuracy and compliance.
• Plan and complete audits; document evidence, score results, and communicate findings.
• Analyze datasets with spreadsheets and queries to measure quality, timeliness, and performance.
• Build and validate reports, dashboards, and monitoring controls; investigate data anomalies.
• Translate audit results into corrective actions and process improvements.
• Serve as a credentialing resource on requirements and data dependencies.
• Support remediation of issues; track action plans through closure.
• Coach teammates and share subject-matter guidance.
• Manage projects, analyses, audits, escalations, and caseloads independently.
• Other duties as assigned.

Skills

Healthcare operations

Risk identification

Excel proficiency

Credentialing quality audits

Data analysis

Reports and dashboards

Credentialing knowledge

Tools

SQL

BigQuery

Job description

Oscar Health is seeking a Senior Analyst to join the Credentialing Quality & Data Operations Team. The role focuses on accuracy, quality, compliance, and continuous improvement of credentialing and provider operations, turning data into actionable recommendations.

This fully remote position supports practitioner and facility credentialing, audits, and analytics, with opportunities to mentor teammates and drive cross-team improvements. Travel to team meetings may be required.